Individual
ERICA MAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
480 S VICTORIA AVE STE D, OXNARD, CA 93030-8663
(805) 985-2400
Mailing address
16641 MCCORMICK ST, ENCINO, CA 91436-1017
(484) 448-0008
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS109780
CA
1223P0221X
Pediatric Dentistry
DN122736
GA
Other
Enumeration date
03/31/2022
Last updated
06/21/2024
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